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06-1462 (RPL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153'., BUILDING PERMIT C.— .. Date: .4/11/06 Application Number: `.06-000014_6 Owner: Property Address: 79035 RANCHO LA QUINTA DR TD DESERT DEV LTD PARTNERSHIP APN: .649-370-001- - - 79285 RANCHO LA QUINTA DR Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 26000 D® ontractor: .. Applicant: Architect or Engineer: LIFORNIA POOLS & SPAS APR 11.2006 .O. BOX 1280 OACHELLA, CA 92236 QUINTA 760)398-9222. ic. No.: 656128 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business aTexempt als Code, and my License is in full force and effect. _ I have and will, maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C8 C27 C29License No.: 656128 for by Section 3700 of the labor Code, for the performance of the work for which this permit is (.-(� / /: / -issued. Date: V`D6 Contractw X. I have and will maintain workers' compensation insurance, as required by Section.3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am from the *Contractor's State License Law for the Carrier SEA.BRIGHT Policy Number BB1060S10 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, ,permit to file a.signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stateand agree that, if I should becom subject to the workers' compensation provisions of Section _ License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, i s with comply with those' provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by . any applicant for a'permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: fete: k `r' Applicant: \\ ' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and _ the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The _ WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL _ Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALT ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building'or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he orshe did not build or , improve for the purpose of sale.). - - APPLICANT ACKNOWLEDGEMENT 1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seo. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an -owner of conditions and restrictions set forth on this application. - _ property who builds or improves thereon, and who contracts for the projects with contractor(s) licensed. -1. Each person upon whose behalfthisapplication is'made; each person at-whose.request and for - pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason _ " ' the owner, and the applicant, each.agrees to,. and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being ' performed under or following issuance of this permit. Date: Owner: - - 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject' CONSTRUCTION LENDING AGENCY .permit to cancellation. 11 - hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.1. .city and county ordinances and state laws•relating to building cons ruction, and hereby authorize representatives -- of.this unty to enter upon the above-mentioned propert 4ot n purposes. Lender's Name: � , //tea Date: �� G Signature (Applicant or Agent):/ Lender's Address: LQPERMIT _ , " Application•Number . . . . . 06-00001462 'Permit .. BLDG POOL'PERMIT Additional desc . Permit Fee . . . . 258.50 Plan Check Fee 168.03 Issue Date . . . . Valuation . . . . 25680 Expiration Date 10/08/06 Qty Unit Charge Per Extension BASE FEE 252.00 1.00 -6.5000 THOU BLDG 25,001-50,000 6.50 Permit MECH POOL Additional desc'.,. Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date' Valuation . . . . 0 E_:piration Date 10/08/06 Qty Unit Charge Per Extension BASE FEE 15.00. 1.00 11.0000 EA MECH FURNACE >100K- 11.00 Permit . . ELEC POOL PERMIT -RES - Additional desc . Permit Fee . . . . 45:00 " Plan Check Fee 11.25 Issue Date . . . . Valuation . . . 0 Expiration Date 10/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ---------------------------------------------------------------------------- EA ELEC PRIVATE. SWIMMING POOL 30.00 Permit PLUMBING Additional desc . Permit Fee 33..00 Plan Check Fee'. 8.25 Issue Date . . . . Valuation . . 0 Expiration Date 10/08/06 Qty Unit Charge Per Extension - BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 .1.00 3.0000 1 WA'1'PK 1N5'1'%ALT%12EY 3.U0 - 1..00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3:00 Permit . . . . . WALL/FENCE PERMIT . LQPERMIT . y Application Number . . . . . 06-00001462 Permit . . . WALL/FENCE PERMIT .Additional desc . Permit Fee . . . 15.00 Plan Check Fee .00 Issue Date .. . . . Valuation _ 320 Expiration Date 10/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 4, Special -:Notes and Comments -- -----_ --------- -- --_--------------- POOL & SPA. 20 LF 4' EQUIPMENT BLOCK WALL,..CITY STANDARD. ALARMS/BARRIERS SHALL BE 'IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee -summary Charged Paid Credited Due t+. ------------ - ----- ---------- ------------ --------=- ----------- Permit Fee Total 377.50 00 .00 377.50 Plan Check Total 194.03 .00 .00 194:03 Grand Total 571.53 .00 .00 571.53 Bin #` Qulit to _ Y Budding, 8z Safety D►vlslon y� } Box 1'504, 78 495 :Calle Tamp►co • La Qulnta, CA 92253 7. 41 777 7012 ` Building Permiit App`(lcation and Trac Ing Sheet Y ,y Project Address 77-6 ?�S k, y . QU Owner's Name 'T� mer A P Number Address 1 LegalI)escriptton . T, Z t _ ...... .-..._ :Contractor.`" , _ ` a, .:Telephone, Ad- �?p Z CP roJect Descnptton. ° , 'City, ST, Zip CJ ,..Z,2�3 tcac �� . CityLicS#. Arch Engr., Designer: � r ' Address`. , Ci ST Zi p. ty,•_. , r , ' - i':a,'r;:l:\#.4.:i°:,c:;;�ihou:3•.du,uv,lkw a.V� 77 Telephone Y _ - . C,oi�shaichon Type Occupancy_. 'State Lic # :. F � •,; ' J� ty pe (cucle. one) Add'n Alter Repair Demo ;Name of Contact Person: K' f,`Pro , Sq Ft #Stones # Units Telephone # of Contact Person as� ` L C Estunated Value of Protect: APPLICANT'DSO NOWT WRITE,BELO�W THIS L! ;# , Submittal R 'dng Recd , �,. G„ ' 3 PERMiT FEES PIan�Sets: _ Plan Check sabm�tted Amount Structural Calls. Reviewed, ready for corrections ' Plan Check Deposit - Truss Ca Its. - Galled Contact Person PI Thin Check Balance Energy Calcs. ' . Plans picked up Construchoa - Flood pla►a,plan . - ' 1 , Plans,resubmiited r Mechanical Gradmgplan' god Renew, ready for correchonsrssue Elec tr�cal Sabcontactor List ' Called Contact Person x.. _.... �,A a::, Plambtng GrantDeed — - - Plans picked' up FI O A Approval • SMI Plans resub�mtt"ted s :. 5 = �� t- _.,, , Grading. .. s IN HOUSE: - .. :. P . '3rd ;. • Review, ready for correctionsrissue :'Developer Impact Fee Plamm�g Approval �. _ A:LP:P. Pub Wks .pprU'NTA --SchoolFees. G &..S/t1F DEP . Total Permit Fees • 32p6aDATA ay -ate,_ ---z iCITY OF LA QUINTA W-1 WI all, FOR CONSTRUCTION i